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基于罗伊适应模式的综合护理干预在膀胱癌围手术期的效果

Effectiveness of Comprehensive Nursing Intervention Based on the Roy Adaptation Model in the Perioperative Period of Bladder Cancer.

作者信息

Feng Kun

出版信息

Altern Ther Health Med. 2024 Jun 14.

Abstract

OBJECTIVE

To explore the effect of comprehensive nursing intervention based on the Roy adaptation model in the perioperative period of bladder cancer.

METHODS

Eighty-six patients with bladder cancer admitted to our hospital from January 2020 to January 2021 were selected and randomly divided into a control group (n = 43, receiving conventional perioperative care) and a research group (n = 43, receiving the Roy adaptation model based on conventional perioperative care). Psychosocial adjustment scores, self-perceived burden scores, quality of life scores, and complication rates of the 2 groups were compared.

RESULTS

After intervention, the Psychosocial Adjustment to Illness Scale (PAIS-SR) scores and the Self-Perceived Burden Scale (SPBS) scores were lower in the research group than in the control group (P < .001). After intervention, the research group scored higher than the control group on all dimensions of the Short Form Health Survey (SF-36) (P < .001). Complication rates were lower in the research group (6.98%) than in the control group (25.58%) (P = .02).

CONCLUSION

Comprehensive nursing intervention based on the Roy adaptation model is effective in the perioperative period of bladder cancer and can significantly improve patients' psychosocial adaptation, reduce self-perceived burden, improve quality of life, and reduce complications, and is worthy of clinical application and promotion.

摘要

目的

探讨基于罗伊适应模式的综合护理干预在膀胱癌围手术期的效果。

方法

选取2020年1月至2021年1月我院收治的86例膀胱癌患者,随机分为对照组(n = 43,接受常规围手术期护理)和研究组(n = 43,在常规围手术期护理基础上接受基于罗伊适应模式的护理)。比较两组患者的心理社会适应得分、自我感知负担得分、生活质量得分及并发症发生率。

结果

干预后,研究组的疾病心理社会适应量表(PAIS-SR)得分和自我感知负担量表(SPBS)得分低于对照组(P < .001)。干预后,研究组在简短健康调查问卷(SF-36)各维度上的得分均高于对照组(P < .001)。研究组的并发症发生率(6.98%)低于对照组(25.58%)(P = .02)。

结论

基于罗伊适应模式的综合护理干预在膀胱癌围手术期效果显著,可显著改善患者心理社会适应能力,减轻自我感知负担,提高生活质量,降低并发症发生率,值得临床应用与推广。

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